HomeMy WebLinkAboutBuilding Permit 03-0452
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
(Please .!VQ~ or orint and sign at bottom)
ADDRESS
.3 -.:b I
1i--D--' \
h:n:
'1;:1
LEGAL DESCRIPTION (ollice use only)
LOT I BLOCK
ADDITION
W<~~
OWNER
(Name) WeY\St"'-"'-"I"
H,....."=>
::r No..
(Address) I73PlS A"..,,, O-\~
~.,'-l<> .:j'li"\,
BUILDER
(Name)~
jt.... C.
a'~""1f
~.",A)
"",'"
(Contact Name)
(Address)
TYPE OF WORK
?ew Construction
DLower Level Finish
DDeck
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
$
$
$
$
$
$
$
$
100 .00
/00.00
.~~ .51)
41J _ DO
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
57/ /".5
'Date
Building Official
Date Rec'd
L/ -/f'03
While File I PERMIT NO tf5d..I
P;,k my 'j), "7_ '
Yellow Applicant 7-
3~
ZONING (office use)
PL.UD
PID.25 - 3Cj~ .- dOl -0
(Phone(G......q) 4/X, -y'loo
C (V\d
JC'''''l ....
55 I 2.:2
(Phone) cJ.
(Phone)~.s..:l. ~4.fo - 45937
- ,
DPorch
Dl}e.Roofing
#
#
#
#
I~~~o,
y
-------
ORe-Siding
~
4Ii9.lc~
~
$
$ / Z 15. 09
$ 2Sl1 (){)
$ 4-:S. {)O
$ J ZO{J.DO I
$ 7{)(J 00 I
$ I. ,91 IJ . 00 I
$ /
$(4_ lj~. fJC/
, ) I
/NIdI I
I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~anning~~~ S~~! ~~ e1[ndiH:f;.(d
24 hour notice for all inspections ('152) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
I <-is f<
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I 'Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
L, <1 zu . h
/".11 v)
J
o Fireplace DAddition ../DAlteration DUtiIity connectiOr
PROJECT COST IV ALUE (excluding land) $ 16.'5 NY';)
J "---.....
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X v...k-ne..'1'D.N\ 1..\c........u9>. '"f' "'" .
Signature y...', j:b..-c I -!> JI-.., _..0
105; /JOtJ - 00 I
!.l) Z / . 7!] I
'&(gf./4 I
ir? . "lV I
. U I
I
I
I
I
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Main :File
CWhite - Buildin<t")
Canary - Engineering
Pink - Planning
Thr Crnlt. of the L.k, ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
//.J./J/}'~~ A6~
Lj-/~-O:3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
310/ FIJ/ lot') lra;L
Accepted
Accepted With Corrections
~
Denied
~ ~
Reviewed By: 9~ Date: ,_-r;1./a 'J
;?u~ aLl , 0 -~, r/ ,() k
Comments: Al/. -
r
~p -Jo ~ ...A-"~ /.;e C'. ~ ~
.~~ L1J' H1~, ~...-+;-. ,:;:r
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Main 11le
While - Building
Canary' - EnQineering
c.... ..inK - PlannTn9::::>
Thr ('..nl... or Ih..l.ak.. ('ounll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
//
j
..
............
APPLICATION RECEIVEDLI- /~ - 0 ?)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..' ,) ( / r~j t'j I / It:> f L
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~?~
7Y1~ p~
Date: .!i7/ h; 3
~
v \
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
--,.,-
Main File
White - Building
( Canary - Engineenn!t::>
Pink - !'IBnnmg
Th" ('"",,,. nf lh" L.k" ('ounll'}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
// /) .~., ,~...; ." ;~... .i'.<~) "r' ,<"
I' c .;....J',-,-......--:;l".-.U.....-./t/
. . ., ."'" ". ,.T "........-- ..,' .
f/ /
..',-.,..,rv?.j"L;:2.-c.,. .../
" " _" ,'" \,i.,
APPLICATION RECEIVED
L/ _ j?--/)-~
r {' v~___
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
31/"l/,j/ ,....- -r--' )
v /."..<).1':' 0 I ,
r;"Z;t ; /...
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/vJIff)
Date:
5"- &-05
Comments: See Reverse Side for Arlrlitinn~1 Infnrm~tin,...1
Me. in j:. / / ('
See Attachments: 1) Grading Plan. 2) Bros,on Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
.,3 BO:26
STORK TeT ST PAUL
651 659 7207 P.1il2/ld2
~ rOF"~.
Twin City Testing Corporation
REPORTED TO;
... '._'~---'~-~'-~
Test Number:
Date Taken:
d.
~
L2
~
UnKled SoH Classification: .:tt 511~1/ 56'\6
ASTM:D2467-96, 02488-00 _ j' I
(Proctor Sample Number) WIQ. 1.1 "~I>>" t-
~1 ~~I&~~. .
b^ (.S"'~-,
~
..
,
..o..~ - ..,~~
81(){'LJ
::l.. ' lnt .':?'
fi,.. 1O.l.\..fl.. --3;OS fi.)C 'fA:'
1I'..t
O~-....,<:;..,
03.-4~S
LocaUon:
81 oc" I. 6l0c.t:
- LM I L,,,t
3 701 fa" -r..,\ '('tcJ.. ~
I
RI~\rJ:: I
L.o-r +.
3101 ""'I<< 'T~ I 'io.l
O:!l~'!.
e18V8ti~
il___~ art ~ ~~ at SI:oo~ ~r~ at ~ ~~t r.tt ~ ~,..I9.
Below Exlsting Grade: - ~
fiELD DENSn:y DETERMINATION: Nuclear Denalty Direct Transmission. ASTM~11.f4 B;~I!})r (Overall B.sis)
Dry Density, pet: lit.,.::; Ild. ! If} I Og
MoIBtur.Content,"': Of.~ 1O,~ C6,'K (,7
Pluell4 Material, 'Yo: 4 10 t4- ~
I ABORATORY COMPACTION CHARACTERISTtCS OF SOIL IPrGCtor Tull:
TeBt Method ~M:D698.o0)0r D1557.o0,<fr~ed~re "A" (-114 SaslO)>or Procedure "C" (-3/4" Baeis)
MaxlmumDryDensity,pcf; lil,Q 1//1-0 r 1/1..0 \- 11/.0
OpUrnumMoIsturaContenl.%: I~.~ J::l...R' Irl..-~ t~_sr
COMPACTION TEST RE8UL TS;
Compaction,%: 100'S' 10\ qCf 97.s'
Specified Compaction, %: q,~ ~ s- q-.r qr
TNt Results (Pa5&1Fail); rb 50S '/
REMARKS: Density lests are valid at the location and elevation of \he test only, No representation Is made as to the
adequacy of fill and compaction at locations lJnd elevations other than those tested. The test locations and
the number of tfitS were &BIactea1lyl I' .
Thes8teslswera performed 'by c..:; I, ~ - - of Twin City Testing.
RIl,(IOfl code (D01-D05)-Dd ' Failin~st arees (code D03~uu
RModll4lO2 ~ \'roC'-tor -t('.4~ ~f\:)", VJe.1\SN'(A1I/\ 'do. M~""io^ iTc.'i prop::! +t 03lqog,
....I...........r...................., "'.............,........."". ..__
TOTAL P.02
_-RlE
YB.I.GW ~ ar--e~wr
.... - "'"
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. '7y-4SJ
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: 3~~ PHONE: ~2-m--~/9f'
- · ~J~TE:
~ Y --' BLDG. rANn1.' ,
- .r.-
-(f-/). V"/"!lL./ J PID'
..~'...,:.L.A:
FILL IN THE
BLANKS
.:TO
feet.
1.
Estimated lenqth of water service
/~I
size of water service inch(es).
2.
3.
Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC IX
Cast Iron
5. Estimated length of sewer line
6'0
feet.
6. Clean out (if required), located at
structure.
feet
from
===========================~==~================----=====------=====
This application becomes your permit when approved.
BY DATE:
=====================--------,===;===== ~-'--~~= -------=-----===========
FEES:
$
$
~
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
r~s~~~~.~)[t@ilffO\fl fr]icate sewer and water B,y/fDiN~"':;:Hre
DATE PAID :;u JLii4 L .. Z3tB-' AMOUNT PAID ~ FlMIT
RECEIPT # U REC'O BY ~
By ~' ~
16200 Eagle CreekAv. S.E., Prior Lake, Minnc.-sota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An 'Pnn.1 r
itv Pmnlnv~r
APr,~I, ~OOJ 1133AM
GENZ RVAN PLUMBING AND HEATING
No 0366 P~, \
4PRl~
(~O" ~\ ~
".' ':,'oJ .'
:V -'.:".""_'.1,'
"~;:\"~,,~~I:.~\Ij),~ 1.....
'-'o,;','\'A\~,}....... ....NIiSO
,
Date Rec'd
CITY OF PRIOR LAKE
SEWER A.l~ W ATER P~RMIT
;, ~dio'w g~. I PERl\'llT NO, -:2. - [..1 '5 1
3, (;old 's'(lIJ.IICllllI r-) c:f
fPlea.1e ~ or"riD.( U1d s~ at botto:lJJ.)
ADDRESS '
310 I fny TaA II~t~Ll
ZONn-rG (offi:c: u:;c)
, LEGAL DESCRIPTION (offi<< use only)
LOT 1 BLOCK I ADDITION
Wi VWrrlCtY1 (0~
Pill
OWNER
(Name) \<1ensmann Homes
(phon~) 651-905-3709
Eagan, MN 55122
(City) (Zip C9'"'}-'-'
(Address) 1895 Plaza Dr See 200
(Addres,)
APPlJCANT
(Name) Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) .14745 So Roben Trl
C (Addres,) r_. / I
(Contact Person) _, V1 ft( "it tVM ~
v_ICANT SIGNATURE CJ A ~)
Rn~e1ilOllnt. '1'1
(City)
55068
(Zip Code)
'<frp g I' /)-
(Phone) 651-42,-1144
DATE ._Jl:11..:.0 ~
APPLICA.t~T PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structur,e
Type of sewer pipe. 0 ABC [J PVC
Estimated length of sewer liue fe,~.
Clean out (if required) located at feet from strUcture.
feet.
o Cast Iron
FEE SCHEDULE
Res,ldentJal sewer and water hne connecl1oll $3550 llldustrial, Com'l & Mull1-famtly J% of job cost wIth a $39 50 mwimum
Sewer connectioll only $17.50 Water conlleclion only $1750
Esrim ated Co$'! $
Building Permit #
SEVIER AND WATER PE.RlvllT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
811ltAIIJ ""- .
Ol"'G ;'" I,.,
~"4trr
(Officr.: U,e Only)
I This Application Becomes Your Building Permit When Approved P~d ,_' __
Oare ~)~ U5 l~ U W L~li r~
24 hour nodce for all inspection' (952) 447-98: ~~x~~ ,u7'&2J:lJ03j Y
Receipt No,
Buildiog Official
By
2001 2 11 PM
GENZ RVAN PLUMBING AND HEATING
No,5221 P, 6 3
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
, """
1,0.-
J.. Yellaw
./
~~m f PERMIT NO. 3 - lfb .t--
~e "iPe or print and $1111\ at bottOm)
ADDUSSj70J frJx 1triJ tRJ
ZONING Collic:,,",)
, LEGAL DESCRIPTION (office use oDly)
LOT I BLOCK I ADDITION 1A!efz (' ma j/).f!
6Kd
Pill
OWNER
~ame)~Q~~m~~n ~~~oe
(phone) ~,1_Qn,_~7M
(Address) 1695 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
(N"ame) Ge.nz-RV;ln 'PlllnWiT'\P" f.. Hp-lI.tiTF!
(phone) ~,1_u7'1_1lUt.
(d ) 14745 So Robert Trl Rosemount, MN
A dress . (AddIe!' (Ciry)
(Contact Person) --!};h.JfJ~ - .1.{.(1 " (phone) ,;", _J, ?~_1 , u.
APPLICANT SIGNATU~ .I ~ )-=:t; //4 DATE .<;:1-4 --tJ ,:3
/" APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL {} (0 ~ qo FUEL tJ wr -AJ lK
FLUE SIZE REroRN OPENINGS -+ INPUT ~1llf)) OUTPUT ~
TYPE OF SYSTEM KEATING OR POWER PLANT
~Warm AIr Plant.< 0 Stear"
DGrav;1)' 0 Hot Warer
o MecbanJcal 0 Radi,uiop
~ir Conditionmg 0 Special Dev,ces
OVen!. System 0 Other Dev,ces
55068
(Zip Code)
PLEASE NOTE:
Air Condiooner Units
Cannot Encroach inco
Required Side Yard
Setbacks
FrREPLACE MAKE AND MODEL
Industr1al. Commercial & Multi-FamIly
FEE Sc:HEDULE
1 % of job cost ResjdeouaJ. GAS Fireplace
$3950 minimum
$99 50 Residential, Additions & Alterations
$6450 Residential, AC Only
$39 50
ResIdential, Heating &: AlC (New CollStructJon)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennlt #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Building OfiiciaJ
Date
lr;' cc; ~:
r ~1@J l0
rlir~UG
.50 e~d!1() I....
~G rY/h.
~ 1:Jti;.7
is u0J ' r r II Receipt No. "If/)-
1_..... II ;:
5 2003 ~ )1 By . 0
V
{~'-... Use Qnly)
. ..'0 Application Becomes Your Building Permit When Approved
24 hollr notice for .11 inspections (952) 447 ~O, fax. (95~) 44_~-42~_.
All g, 4,
".~z~ t'~o~~
,... \ '7
- \ ;0:
(,,) . ----' ttf
':\\,' 'i-":7:;"t:''A1'1E1l.0<1:t'"
<1"1'.'..,,,""
~:i~@~"i'
=003
=04PM
GENZ RVAN PLUMBING AND HEATING
No 5==1
P . j
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I BII/_ Mia
2. rl\)ltJ ell)'
J. Ycl~.... AIlP!ialIt
I PERMIT NO. 3-q5~
(Ytease tvoe: OTtI:rlru: andsuZ'O atborroDl)
I ADDRESS 1 /,...--r
~ 10 1 TV '( I fA A) .rld.
ZONJNG(offic".,e)
LEGAL DESCRIPTION (offie, use omy)
LOT ! BLOCK r ADDITION W flill<(mIJ)'J//) 8r:zJ..
PID
OWNER
(Name) Wensmann Homes
(phone) 651-905-3709
(Address) 1895 Plaza, Dr
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Ad<iress)
(Contact Person) f1:J IZ ( s h &e (S
APPLICANT SIGNATURE (I) j jj;fJ '-::f?:t jj/)
Quantity
I
,
i
J-/
I
1,.....
I
'_/})
Eagan, MN 55122
(phone) 651-423-1144
Rosemount. HN
(City)
55068
(Zip Code)
(phone) 651-423-1144
_ DATE
K/q-o,~
APPLICANT PLEASE COMJ>LETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishw8$her
Floor Drain
Lavatory (Bathroom Sink)
LaUlldry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
''5
\
\? ~.r:..-
, I
I Type of Fixture
I Rough-.ins
Water Heater
I Water Softoer
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
BackfJow Assembly Test
Lawn Sprinkler
Other
I
I
I
I
I
I
I
I
I
I
FEE SCHEDUI.E
Indus",.I, Cnmmer<laJ & Mulll-faJmly 1% of .lob cost WIth. $39 SO minimum Resldennal. New One & Two.FaIl'lI1y $99 SO
Residential, Additions & Alterations .$39 50
(orne< U.c Only)
Estunated Cost $
BUIlding Permit 1/
PLUMBING PERMlT FEE $
STATE SURCHARGE $
TOTAL PERlVllT FEE $
131J1~AJO ~'h.
""'G P. .,.,
~FI""".
.50
Tbi. Application Becomes Your Building permit When ApproV<d ~~~ i0 ~ u \iJ UJ 1lfeceipt NO. .
DI" '1[11ll1 teAUG 52003 J).PY /i1
8uilding Ofliciai i I 1/ I
24 hour noti0:2 for .n ;n.pcction.s (952) 447-9~!iIY ~(952) 447-4Z~S_.~. ..
,.".,~-~~-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~~70 I- POxj-o...; I T'yQ.; I
NATURE OF WORK
USE OF BUILDING ~
PERMIT NO. 0 ~ ~ 'IS' DATE ISSUED
CONTRACTOR w,..~~ PHONE I./t/O.. 1fS11'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF ~Jf n~n Fl"le
BUILDING AND INS~J.
INSPECTOR
OATE
L FOOTING ~b 1I Ok.vt.. I..P'Ll ~ 'k.
, FOUNDATION (Prior to Backfill) L( uu,~,P~ ~ -? ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
p~ <..-/~
fJ{)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST aHuAib IM/
1~1 i......J. t- rt>:~
,
fit) 7-(
f'(j)
1:- Iq- d},
GRADING (Prior to Sodding)
BUILDING I~ .to e-1-(1~(
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
E:!P /} :,1' D
q, 'x;t,
?b..
(JIll-;
OCCUpy UNTIL ABOVE
NOTICE
/tJ '''1'
HAS BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, carlV shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
<tledifirafe of OOrrnpanrl!
CITY OF PRIOR LAKE
~rparfmrnf of ~uilMng ~nsprdion
Winal Permitted n Conditional C.O. Expires _
This Certificate issued pursuant to the requirements of Section 307 a/the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating buUding construction or use. For the following:
Use Classification
SINGLE FAI"lILY
Bldg. Permit No.
03-0452
Occupancy Type
R3
Type Construction \r~
Fire Zone
N/A
_ Zoning District
Legal Description
Ll, B1, Wl<:IlSl-'illNN THIRD
Owner of Building
Contractor's Name & AddresfJ~NSMANN
Site Address
3701 FOX TAIL TRAIL
ROBERT D. HUTCHINS
/} __ ~~~u~~fficial
HO.MES..
/1'
V
189'; PLAZA DRIVE, SUITE 200, EAGAN, MN 55122
DON RYE
_ City Planner_
Date:
Date:
"
"1fI ".",-,
-
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
N\~. B-~
SCHEDULED
llA TE
I~
TIllE
ADDRESS <?:,. 10 1 ~c))'( "\I~\. 'l"i!.If1'.-L
OWNER
C;ONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'&:FINAL
IQ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ 10 \ , ::, 1 0 ~I ~ l<l S 1 3.'101
t~ r2..AlJ c:: --()l(
(~u,t!...'f'.::, 'S""'c.,p ~ O~
1'0<;:) SoO (., ~ ""-IQf:f<)
~
6~~ ctS c..
o cvWlFlLUNG
o ~~'NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~""'~~. Owner!Contr.
CALL 447-'850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
""'""'
CODE REQUIREMEN7S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
370l F;,y Tit;l Ir-
OWNER
PHONE NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
lJ FINAL
lJ SITE INSPECTION
COMMENTS:
J . J.:i'.<.a.h
1__
~~
CONTR.
PERMIT NO.
lJ PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;l!H>LUMBING FINAL
o MECH FINAL
}; K; \,.,.. L..~_
I~lll ( 11)1#7
DATE TIME
lo.2a~ I/:O~
I/.s-I
J - I:f 0:...J
lJ EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
lJ GASLlNE AIR TST
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o JlRRK SATISFACTORY, PROCEEI)
~ CORRECT ACTION AND PROCEE[)
o CORu WORK, CALL FOR REIIISPECTION BEFORE COVERING
Inspect r \../7 Owner/Contr:
C I L 41r-tsSO FOR THE NEx'r INSPECTION 24 HOURS IN ADVANCE.
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~. REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
lNV<<Jn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /'0 -~-
ADDRESS _]/){) I
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
5- c.j'J&
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Q"J J.-- . ~ r--.~ fP't- ~~ ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORaRC ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : ~ Owner/Contr: _
CA lufo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~UlREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
/NSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ADDRESS
..3701
F())( 'Pt1L-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WAl'ER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
56 0 I~b
I
COMMENTS:
03-0+52-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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f (./\J-' .J
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~
~ORK SATISFACTORY, PROCEED
o CORRE AC ION AND PROCEED
o CORR CT W . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEX1'INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!